SHANNON B MOTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191448

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

MOTEN

Business Name

SHANNON B MOTEN

Original Issue Date

05/01/2009

Effective Date

05/01/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010